All language subtitles for a_gifted_man_2011_s01e04

Hello. Could I get a shot of espresso
and a cup of coffee?

I'd like to try a chocolate banana
empanada.

Specialty of the house.

Should I have dessert for breakfast?

Live a little.

Let me think about it. Come on, have one
for me.

I miss my earthly delights.

Sure, I'll try one.

She's too young for you.

Oh, no.

Keep it.

Did you know this was my favorite place?

I used to sit here every day.

Kate! Are you on a date?

Dr. Hope.

Doctor, you must love that.

I got you a cup of coffee. Not sure how
you take it. Black.

Then it's perfect.

Is that for me?

Yes.

I hear they're very good.

Thanks.

None for you?

No, thanks.

Wow,

that is delicious.

Let me guess, you're more like a brown
rice, bird seed kind of guy?

More like red wine, red meat.

I want to thank you for reconsidering
the clinic a job.

I was surprised you had the guts to ask
after that horrible pitch you gave me

last week.

So what made you change your mind?

Your ex -wife accomplished a lot on a
shoestring at Clinica Sanando. She

served the community.

Anna will be missed.

And she married you, so it can't be all
bad.

So that's a yes?

Yeah.

I would be honored to follow in Anna
Paul's footsteps.

Ah, that's great. Really.

I'm ready to get to work.

I'll walk you over. I got a little more
time before my first patient. Great. Let

me just, let me get a top up because I
have a mild caffeine addiction.

I like her.

She seems smart and tough and if I have
to be replaced, and I do.

You ready?

Yeah, let's do it.

So a family clinic, that's what you've
been holding out for? I quit the HMO to

bring good health care to people who
can't afford it.

And here's where you'll do it.

Clinica Sanando.

Bet you don't even know what that means.

Sandy Clinic.

No?

Healing Clinic.

Wow.

You know, I've driven past here for
years.

Kept meaning to walk in.

I worked ten blocks away, and I never
even knew it was here.

I guess we see what we need to see.

A car crashed through the front of
Finnegan San Ando.

Yep, we need an ambulance. Everybody
okay? Anybody get hit? Cuffs and

nothing critical. Car, check inside.

Amy, you okay?

Yeah.

Can you move your arms and legs? I'm
okay. What about my kids?

Got it.

You all right back here? Anybody hurt?

We're okay.

All right, Sasha?

I think so. You're okay.

Easy, easy.

It's a good thing you're wearing your
seatbelt, huh? Let's get everyone into

exam rooms.

I feel terrible.

After everything Dr. Anna did for me.

Take a deep breath for me.

So you were coming here?

I worked the night shift.

Davion had a stomachache. He looked damn
near green.

Natasha didn't sleep all night. I
thought I should bring him in.

My mom brought me here because I'm sick.

Where is she?

Well, Dr. Michael is looking at your mom
to make sure she's okay.

And then you get to see her.

Is that good?

Does your neck hurt?

A little.

Okay. Tell me where.

It feels funny in the back.

You might have pulled a muscle. It's
called whiplash. You can just move your

neck slowly. Follow my finger. Move your
neck nice and slow.

In here.

That's good.

What about you, sir? Any neck pain?

Numbness? Tingling?

No, but my stomach hurts.

Okay, is it hurting a kind of poking,
stabbing sort of way, or more like a may

need to throw up kind of way? More like
a might need to throw up kind of way. I

think I got the flu.

My heart is still beating so fast.

I swear it wasn't my fault. That guy on
the bike, he just flew out of nowhere.

Well, you have a very reliable witness.

Me.

Michael, can you come out here for a
second?

Uh, sure.

Be right back.

What's up? Good officers, Mike. Found
them on the floor of the back seat.

Your driver was drinking.

Lucille did struggle with drinking. She
even lost her kids for a while. Hannah

helped her get back on track, but maybe
she fell off the wagon. That's odd. I

didn't smell any alcohol in her breath.
I still gotta give her the test.

Lucille, this is Officer Smythe. He
needs to give you a breathalyzer.

Why?

I haven't had a drink in over a year.

Then why was this in your car?

I have no idea.

Uh -oh.

You all right?

Take it easy.

Sit up here.

Hand me an ophthalmoscope.

Have you felt dizzy since you've been
here?

No.

You gotta believe me.

I'm on probation.

I can't lose my kids again. I just
can't.

Any papilledema?

Nope. She has extensive hypertensive
retinopathy.

In English?

Damage to the retinas due to high blood
pressure. We're lucky we caught it. She

could have stroked out.

BP's 230 over 140. You been taking any
blood pressure medication?

I was, until the prescription ran out.
You could have refilled it.

I needed the money for the kids' school
supplies.

Put her on a labetalol drip until you
can rule out a hypertensive emergency.

Doc, I still have to administer the
test. Go ahead, but she's not drunk.

Dr. Sikora, can I talk to you?

So the cop found a beer bottle in the
car.

Mom was drinking?

No, her only problem was she stopped
taking her ACE inhibitors.

I think someone's flu just became a
hangover.

Hey, man.

So the cops found an empty beer bottle
in your mom's car.

Our mama doesn't drink anymore.

That's what we think, too.

Mr. Davion?

Me and my boys might have gone for a
ride last night and had a few.

Ooh, Davion. Shut up, Tasha.

Hey, I have to hear, pal.

Underage drinking, joyriding.

You're gonna have to face the music.

I'll go get a mop and a bucket.

Then get an EKG on Lucille and keep her
on the drip until her pressure's back to

normal. You're leaving?

Gotta go to work.

Go away.

You know I don't like to cry in front of
you. You don't need to see this.

There's so many people around.

Check it out. I'm pretending to talk on
my phone.

Hey.

Kate really took charge in there.

Almost reminds me of someone.

That's just it. I'm not someone.

I can...

see what's happening.

I can feel what's happening, but there
isn't a damn thing I can do about it.

It's like if you were in the O .R. and
you're about to take out a tumor and

you find yourself behind C .C. to cry.

Sounds like hell.

It's not heaven.

See if I can do that.

It's your counseling dinner.

Why would you assume that?

Because I'm your sister. I sort of know
you.

Listen, call in about your friend Anton,
the shaman.

Isn't he a carpenter, too?

Yeah, he does beautiful work.

Why? Well, I got a job for him. It's
more like fast and cheap, but it's for a

good cause.

Tell him to come over to Clinica Sanando
and find Dr. Kate Sikora. Thanks.

Michael, that's very cool of you.

And I will see you tonight. Okay, fine.

There you go. I hired someone. So now
you don't have to hang around here.

What happened to you?

Flat tire?

You'll be happy to know I'm done with
the clinic. They have a new director.

Good.

Now you need to tidy up for your 10 a
.m.

Samir Patel, 18, suffering from frequent
headaches.

And it's for parents who are suffering
from that damn video game.

So tell me about your headaches.

Sameer.

They started several months ago.

Sameer is a senior in high school.

His college applications will be due
soon. He'll apply for early admission to

Yale, pre -med.

Sameer is a great doctor.

Like you, Dr. Holt.

My wife says that Sameer is going to be
a great doctor, like you.

Oh, God.

This game is his obsession.

Apparently, it distracts them from the
pain, but I wonder, could this be the

cause of his headaches?

Prolonged exposure to video games can do
that.

Samir, you having a headache now?

Samir?

Samir, do not ignore us. You must answer
the doctor's question.

Now!

You will not be disrespected. Hey, I
need that. I need it. Once you learn to

like an adult.

You know, I'd love to speak to your son
alone.

Let me show you my video game.

Can you please tell them that I'm 18 and
not 8?

It's the parents of four, my friend.

Treat you like a kid, even when you're
an adult.

Force activated. So how's your headache?

Right now, it's gone.

So was it your parents that wanted you
to become a doctor?

No, that was all me.

Really?

Check this out.

Whoa.

Yeah.

It's a picture of a neuron with its
dendrite and axon. Your brain cells.

That's right.

Two -photon calcium imaging superimposed
on a brain bow.

That's so cool.

Right?

Did you know that the medulla oblongata
has two sensory and motor axons that

crisscross? That's why when someone has
a stroke on the left side of the brain,

they become paralyzed on the right.

Yeah, you do want to be a doctor.

Try it.

Really? Yeah, give it a go.

Sweet.

This thing rocks.

As much as your video game?

Well, I don't know, you know.

Planetary Playground is pretty awesome.

You totally dig it. I saw the Hubble
photos in your office.

Didn't think you noticed those.

My avatar, he's a genius.

Uber nerdy, but he totally kicks ass.

I named him The Boy.

Why do you need to play so much?

I guess it just helps my mind shut up.

I mean, whenever I stop playing, my
headaches get worse.

Does pain ever make you nauseous or
dizzy?

Yeah, I had a dizzy spell a few weeks
ago.

The school nurse sent me home.

She's hot, by the way.

Show me where the pain starts.

It's kind of like right here.

Describe what it's like.

I don't really like ethic questions.

I'm more of a multiple choice man.

Me too.

A, piercing. B, throbbing. C, stabbing.
I'd have to say D.

None of the above.

It's more like loud.

Like music or a planetary playground?

I can't tell you.

Samir, you're 18. You're legally an
adult. Whatever you tell me is

My headache?

It has a voice.

It talks to me.

Lie still, please.

But my headache is really loud right
now.

All right, fine.

What's it saying? That I should get out
of here.

Just try to relax.

What if we take these pictures and my
brain looks normal?

Just do the test.

I can't. It's too quiet in here.

You don't know what it's like to have a
voice in your head. You can't

understand.

I need you to talk to me.

I am talking to you. No, in here.

Okay, so what do you want to talk about?

I don't know.

Why'd you become a doctor?

When I was a kid, my dad gave me a
visible man model. I thought it was

cool.

I had one of those.

I like looking at the inside of the
body.

I like looking at the brain.

Yeah.

I wanted to know how it worked.

Chemistry, the wiring, rewiring.

So I chose neurosurgery.

Then I took a detour. What kind of
detour?

No talking, okay?

I guess it wasn't a detour.

It was a woman.

She wanted to be a family doctor, so...

I switched specialties, followed her all
the way to the frozen tundra of Alaska.

And we had some adventures there.

Sutured a polar bear bite.

Did an emergency delivery of an Inuit
baby in an igloo.

Then it was over.

And I came to New York, and I built
this.

Dr. Holt, the patient's asleep.

Figures.

Boring story.

Not for me.

Samir's MRI shows a math on the nerve
connecting the brain to the inner ear.

Now, this nerve...

controls balance and hearing, which
explains the headaches and the

What is this, Moss?

Most likely a tumor called a vestibular
schwannoma.

A tumor? So this is cancer?

Schwannoma is usually benign, but I
can't say for sure until I operate and

biopsy the tissue.

What if you don't?

If left untreated, it can lead to
deafness.

Are there risks if he has a surgery?

Well, there are always risks.

Surgery itself could lead to mere deaf
in the affected ear.

My success rate is 100%. It's your
decision.

If there's something in my head that
shouldn't be there, I want you to get it

out.

Then we'll operate tonight.

I hear you need a carpenter.

How'd you hear that?

Michael Holt.

He called a friend of mine.

Hi.

Kate Sikora.

Anton Little Creek.

Little Creek, huh?

You know, Sikora actually means little
bird in Czech.

Oh.

So you know Michael. Does that mean that
you knew Anna Paul?

We, um, we've crossed paths.

We came through the waiting room, so you
know what a big job it is.

This place has amazing energy.

I feel so blessed to be here.

That's great. Just dive right in. I'm
buried under bills.

I'm still trying to find the insurance
policy.

That's it?

Thank you.

Tabo said I'd find you hiding here.

You didn't get the memo, Dr. Barnes?

If things are bad for you, they'll kill
you.

How are your patients?

Lucille's on a drip.

BP's going down.

Tasha says she feels weird, though.

Weird how?

She's sleepy, but she can't sleep, and
every time she yawns, her neck hurts.

She doesn't have whiplash.

Probably still freaked out, poor thing.

What's up with you?

I've been going through Anna's
paperwork.

The insurance policy she took out on the
clinic, it has a $75 ,000 deductible.

That's too high.

But the monthly payments were low.

You don't seem surprised.

Anna had amazing skills. We were all in
awe of her. She was generous to a fault.

The day -to -day running of the
business. She let things slide a little.

If things got tight, she'd go off salary
and cheerios for a while.

Yeah. Well, the board's going to panic
about this.

You think they'll shut it down?

Maybe. They have to cover their ass.

Maybe you should hit up Anna's ex.

Bolt's been coming around.

He looks flush.

No. I've been in tight binds before. I
know how to hustle for funds.

You sound like Anna.

We're going to get through this.

Even if I have to eat Cheerios.

Did you

see

the tumor?

Yep. It's right where I thought it would
be.

Scalpel.

Pick up.

And goodbye, Schwanoma.

Wow. You don't see this every day.

Michael, what the hell is that?

It's something extremely rare.

Does that thing have teeth?

Yeah, it can have teeth.

Even hair.

It's called a chimera.

It's the beginnings of a human being.

That tumor was Samir's twin.

Sometimes in utero, one embryo dies and
is absorbed into the other one.

It's called a chimera or a vanishing
twin.

Grown larger recently, which has been
known to happen, the increased pressure

the nerve is what was causing Samir's
headaches.

Snooze is difficult for my wife.

After Samir was born, we tried for many
years just to have another child. We

could not.

Perhaps we put too much pressure on
Samir.

Dr. Holt, I want to tell you something.

When I became pregnant, I could feel two
babies inside my belly, identical

twins. I even named them Samir and

Amit.

In Hindi, Amit means infinite.

How could you not tell me this?

Do you remember the boy?

Samir mentioned him to me.

They said it was the name of his avatar.

It was also something else.

When Samir was a child, he had... What
do you call it?

An imaginary friend.

We often heard Samir talking to him. He
called him the boy.

My husband thought it was sweet, but I
discouraged Samir from having these

conversations.

I told him to make real friends.

So now, I must wonder, Dr. Holt, could
this boy have been the

spirit of my other son, Amit?

Was Samir speaking to his brother?

Sorry to interrupt.

Samir is awake.

I think something's wrong.

Excuse me.

Go away.

Go.

Samir. Samir, are you in pain? No,

it's too loud.

What does he mean?

Get out.

Get out.

Get out. Did you leave part of the tumor
inside? No, the surgery wasn't a

success. Make him stop.

Samir. You need to lie still. I trusted
you. You said you would help me. I did,

okay? The tumor is gone.

It's the voice.

He's still here. He's screaming at me.

You didn't get him out.

Samir has been having auditory
hallucinations. You knew this in the

us know.

He's an adult.

What he tells me is confidential.

What can you do for this? We have an
excellent neuropsychiatrist on staff,

Baxter, who will assess your son's
mental status and prescribe medication

needed. Dr. Holt, in India we knew a
woman who practiced Ayurveda. Ita, no.

It's all right.

Samir will meet with your psychiatrist.

Come.

Tough case.

The margin was clear. The math was gone.
The tumor's incidental. I'm sure you're

right.

Why?

Why are you sure?

Because you always find the answer.

The answer's in that family.

You've got a dad who pushes him and a
mother who suffocates him. No wonder the

kid needs that voice to drown them out.

Speaking of fun family dynamics, did you
forget about dinner with your sister?

Well,

if he wakes up and he's agitated, just
give him one milligram of lorazepam.

No, it's not going to stop the voice in
his head, but it'll put him to sleep.

What's the voice in their head?

I can't discuss my patients with you.

Maybe your patient has an Anna.

No, he's got a lot of problems.

I've done all I can.

Mother wants to do an Ayurveda.

Whatever that is.

It's traditional East Indian medicine.

Wow.

You really freak out when things defy
logic, don't you?

There's a medical explanation for it.

It's like a phantom limb. Guy loses an
arm, but the arm still hurts.

Anyway, psychiatric case now.

You know, sometimes people think mental
illness is misdiagnosed.

Anton works with people who thought they
were sick, and then the energy healing

really helped. Don't start.

I sound just like that.

Well, this case has nothing to do with
you.

Remember last year?

I was having a really hard time.

And Milo was getting into all those
fights at school, and you kept saying

the parent, he's the kid. It's true.

Like that helped.

And then I lost my job, and I really
started to unravel, remember?

I didn't tell you this because I didn't
want you to judge me, but I went on a

retreat. Another one?

It was different.

I met Anton, and he really helped clear
all the heavy stuff.

That's why I thought he could help your
patients.

Look, I get it that it worked for you.

But I do real medicine.

Hey, Lucille.

You had it home?

Dr. Zeke says I am. BP is normal. Drip
work.

Good news.

On one condition, you come in here every
day this week so I can check your BP

and make sure you're taking your meds.
Oh, well, I don't want to be any more

trouble. Believe me.

Here's the problem with Tucker.

What happened?

She was drawing a picture and she
started to cry.

My neck still hurts more than before.

Baby's going to be all right. Show me
where it hurts.

Here. And my arm feels tannily.

Zeke, let's get her into an exam room.

You're not like Dad.

I mean, he never would have tried
alternative healing, but then again, he

had a visitation from the other side.

Maybe when he was really blasted.

Yeah. Daddy did have his demons.

Is it Dr. Holt?

Michael, it's Kate Sikora. We have a
neural emergency with a patient from the

car wreck. Did Lucille stroke out? I
told Zeke to keep her on the drip.

is fine. It's her daughter, Tasha. How
does she present?

Stiffness in the neck, yawning makes her
cry, left arm is numb, and now she's

unconscious. All right, get her to hold
right now.

She's starting to posture.

Pupil is blown.

Michael, I think her brain is
herniating. Okay, listen to me. You're

have to relieve her intracranial
pressure right now.

How? We can't open up her skull here. We
don't have that kind of equipment.

Zeke, get some IV tubing and a spinal
needle. Kate, you're going to do a

ventriculostomy.

Temporal bone is thin enough to punch
through without a drill. Listen, insert

the needle two centimeters superior and
anterior to the pinna. What am I aiming

for? Temporal horn of the lateral
ventricle. Be careful.

If you're off, you'll tear through the
sylvan fissure.

Okay, I feel the spot. Great. Now insert
the needle.

She stopped posturing.

It worked.

Great. Get her an ambulance. I'll meet
you at hold.

I decompressed her posterior fossa by
removing areas of the skull and spinal

column.

What are you finding?

The patient has a Chiari malformation.

I'm opening the dura.

Lower brain gets displaced downward,
causing obstruction and compression.

She's had it since birth.

So it was a congenital condition.

Accident probably aggravated it.

And that's why she had pain from yawning
and stiffness in her neck.

She's lucky she was at the clinic.

You and Zeke saved her life.

Pretty cool, right?

Yeah. Sorry, I couldn't resist.

It's really impressive.

Movie night at Holt Neuro?

No, they're actually called brain bows.
They help us understand neural

connections.

They make the brain look really
beautiful.

What you did for Tasha was amazing.

Yeah, just glad she's okay.

Can Lucille see her? I'm sure she's
worried sick.

I already had the nurse go get her. She
can sleep over if she wants, either in

Tasha's room or we can get her her own
suite.

Her own suite.

Not exactly the accommodations we have
at the clinic.

We try.

Yes, it must be very hard.

So do you always want to be in family
medicine?

Actually, I thought about becoming a
cardiologist.

A woman who wants to understand the
heart.

Yes, it is almost as cliche as a man who
is all about the brain.

So you figure him out yet?

You know, every time I think I do, I
realize I'm just a beginner.

Yeah.

Heart's kind of the same way.

Morning, good morning.

Hi, Dr. Mike.

Hey, Tasha.

Get some sleep?

Good.

Well, she's going to be fine.

Thank you. Thank you so much.

Glad we caught it in time.

This is a miracle.

All right, you're a doctor, a scientist.
You probably don't go for miracles,

huh? Not really.

When I got cling...

My sponsor told me to get friendly with
my higher power.

I was so low.

I lost my faith, but now I believe.

There's got to be a plan, right?

Why else would I barely miss that bike
messenger and crash my old junk heap

Dr. Anna's clinic?

I don't know.

So that my sweet baby could get her
surgery.

From the best.

Doctor Baxter evaluated Samir and
prescribed medication.

Good. We'll come back for a follow -up
appointment in two weeks.

Sounds good. I'm sorry to bother you,
but I think you're the family I'm

for.

Are you the boy with the voicemail?

Christina, who are you?

I'm Dr. Holt's sister, and I want to
talk to you about your son.

You told her about Samir? No, no, he
didn't.

I overheard him. And I want to tell you
about a healer that I know, a shaman

that I... Excuse us.

You have no right interfering here,
Christine. Michael, you can help this

Anton can release the voice in his head.
Leave now.

Wait. Please, Dr. Holt.

I would like to hear what your sister
has to say. So would I.

Dad,

are you coming?

Did I just hear your sister's voice in
reception?

Carrie's, doesn't it?

You're not dressed for your next
consult. Yeah, I know. Cancel it.

I gotta clear my head.

Michael, I know you're relieved to be
done with that clinic.

But I got a call earlier from Zeke
Barnes.

He said he thought you want to know that
they're having an emergency board

meeting over there tonight.

He said, uh, Kate doesn't want to bother
you, but there's a problem with the

insurance. You know what?

Zeke should listen to his boss.

I help you?

Got a big bump on your head, huh? We're
looking for Anton Little Creek.

Our carpenter?

I do other work, too.

You sure you're cool with this, pal?

Hey, I'm open -minded. I'm a python.

What exactly are you going to do?

It's an ancient healing technique.

It's called an extraction.

Samir is going to release the energy of
his twin into this.

I'll locate the energy and loosen its
hold.

The phase will clear the space.

The crystal is like a first -class
ticket for intrusive energies, and they

nice ride home.

The energy of your twin has found a safe
place in you. He wants to let go, but

he's scared.

Now I want you to think of Amit just
going right down your arm and right into

the crystal.

Is the spirit out?

What are you so mad about?

You always used to go running when you
were pissed off.

But when I wanted to be alone.

You think I'm an idiot?

I hired people to deal with your clinic,
and it's a sinking ship.

The clinic was my life's work.

I didn't have children and a husband. I
had my patients and my staff. They were

my family. Well, then you should have
taken better care of them. I did the

I could under difficult circumstances.

You never got your act together.

Just like Alaska, you make rash
decisions.

You don't prioritize. Oh, don't bring up
the jade earrings.

You bought gift for our patient when we
couldn't even pay the gas bill.

Grandma Leah deserved something nice.

She wasn't your grandma.

Don't lecture me. It's too late.

Why can't you face your mistakes?

All right.

I screwed up.

I bounced checks. I maxed out credit
cards. You know better than anyone else.

And now your family is in trouble. Yes.

What a shock.

Who do you come to to bail you out?

Dr. Holt. Samir.

You look better.

Did you guys leave it?

Yeah, Dad's waiting for us.

You know, it worked.

The boys are gone.

Anton's going to build a bonfire tonight
to help relieve Omid's spirit to the

other side.

I wish I could be there.

We'll talk about it.

Okay.

I'm like you, Dr. Holt.

I don't usually go for all the mystical
business.

But thank you for everything you did for
my family.

Of course.

There are no words.

For you, Dr. Holt.

So Christina brought my patient to you.

The mirror did some heavy lifting in
there.

But he's clear.

You told him.

Oh?

Maybe now you understand what I do.

No.

But if you believe it, if the mirror
believes it... It's called the placebo

effect. Sometimes a sugar pill works as
well as meds.

No one knows why.

You are one stubborn cat, Dr. Holt.

I think that was meant for you.

It's the Hindu god Ganesh.

He removes obstacles.

Right gift for a shaman. A surgeon could
use it more.

Come in.

You need to do name play.

Ah, you certainly got dressed up to tell
me that.

You must be dressed up for the board
meeting.

How do you know?

Heard there was a problem with the
insurance.

Ah, Zeke ratted me out. He was just
trying to help.

So why didn't you come to me?

Michael, I don't want your money.

And besides, it would only be a Band
-Aid.

So what are you going to do?

Ah, well, I have connections at
foundations. I can apply for emergency

I mean, while I'm out doing the legwork,
the board will probably close us down

for a while.

Unless... You saved a girl's life
yesterday.

You helped.

That's my point.

We did it together.

Michael, I really need a team here. We
are so understaffed.

I have a job.

I know.

And when I saw you performing surgery
last night, I really wanted to let you

the hook. But if I could tell the board
that we had a new doctor on staff, not a

new doctor, you, you could make all the
difference.

I'll give you five hours a week.

Fifteen.

Don't you want the clinic to survive?

All right, ten.

Really? You'll work with me?

Yes.